By submitting this secure online form, I agree that the information I provide for myself or my child may be used by the International Alliance for Pediatric Stroke (IAPS) and their Support Specialists solely for my participation in the IAPS Support Network. I understand the Support Specialist is a volunteer for IAPS, and their opinions and comments reflect their personal experience in the diagnosis, testing, and treatments only and are not that of IAPS or medical professionals. I certify that I am 18 years or older.

I may revoke this consent by contacting IAPS at info@iapediatricstroke.org.